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 Formulary Chapter 13: Skin - Full Chapter
Notes:

Dermatology clinics at George Eliot Hospital are run by UHCW.

Therefore all dermatology outpatient prescriptions need to be in line with the UHCW formulary which consultants should be familiar with.

We will only issue prescriptions from our outpatient department if the prescription is for a specialist drug (SO,SI or SC) and those prescriptions that are deemed urgent for the patient to start immediately (ie the patients condition will deteriorate if they wait for a supply from the GP).

For any prescribers wishing to start an inpatient or an outpatient on an emollient please refer to the formulary below which has been taken from both the APC and UHCW Preferred Prescribing List (PPL).

 Details...
13.02.01.01  Expand sub section  Emollient bath and shower preparations
 note 

In dry skin conditions soap should be avoided. Emollient bath additives should be added to bath water; hydration can be improved by soaking in the bath for 10-20 minutes. Some bath emollients can be applied to wet skin undiluted and rinsed off.
Aqueous cream used as a soap substitute may also suffice as a bath additive. It is best whisked in a jug of hot water before adding it to the bath water.
The preparations make skin and surfaces slippery - particular care is needed when bathing. The use of anti-slip bath mats/handles especially for the young and elderly should be encouraged.

 

GPs can be asked to prescribe bath additives/wash - DO NOT prescribe from outpatients unless really urgent. Patients may be asked to purchase these products in the community.

Aquamax Wash
(white soft paraffin 20%, liquid paraffin 8%)
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Formulary
  • £/250g
  • Aquamax cream can also be used as a soap substitute
  • Dermatology only
 
   
Hydromol bath and shower
(light liquid paraffin 37.8%, isopropyl myristate 13%)
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Formulary
  • £/500mL
 
   
QV Gentle Wash
(Glycerol 15%)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
  • £/500mL
  • Dermatology only
 
   
 ....
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
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Link to adult BNF
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Link to children's BNF
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Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Red SO

SPECIALIST ONLY - These drugs are deemed to be not appropriate for prescribing by GPs. Specialists should not ask GPs to prescribe these drugs.   

Green SI

SPECIALIST INITIATED - These drugs must be initiated, i.e. the first dose prescribed, by the specialist and then may be continued when appropriate by the patients GP following communication from the specialist.   

Green SA

SPECIALIST ADVISED Specialists may simply advise a patients GP to initiate these drugs themselves after they have made an initial assessment.   

Amber SC

SHARED CARE - Responsibility for prescribing may be transferred from secondary to primary care with the agreement of an individual GP and when agreed shared care arrangements have been established. The specialist MUST stabilize the patient before asking for care to be transferred. Only specialists should initiate these drugs. Prescribing should be transferred to GPs according to an Shared Care Agreement [SCA]   

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